4- Ribs II Flashcards Preview

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Flashcards in 4- Ribs II Deck (23):
1

What 4 things that must be mentioned every time you name a rib dysfunction?

-side of dysfunction
-# of the rib
-where the rib lives (prefers to be)
-Predominant type of dysfunction that you are ASSESSING

2

Rib somatic dysfunction characteristics

- pain in one cycle of breathing, not the other cycle
-palpation = tender
- usually pain along the entire rib

3

Every time I inhale, my 6th rib hurts, but when I exhale it feels good. What type of somatic dysfunction is it?

exhalation somatic dysfunction

4

A 45 yo male comes in complaining of pain along the costosternal and costotransverse areas that is sharp and pinpoint. What type of somatic dysfunction is this?

pump handle rib dysfunction

5

A 45 yo male comes in complaining of pain mostly along the mid-axillary line that is aching and regional. What type of somatic dysfunction is this?

bucket handle rib dysfunction

6

If a patient comes in to your clinic complaining of rib pain, and you determine that it is likely a pump handle rib dysfunction with a T5 NRLSR, what do you treat first?

The thoracic dysfunction - T5 NRLSR

7

A 54 yo female patient comes complaining of pain in the ribs. You notice upon examination that she has with tenderness, puffiness, stringy tissue texture changes along the sternum with no edema. What is the disease? How do you treat?

Costochondritis

- treat all somatic dysfunctions and give NSAIDS

8

A 54 yo female patient comes complaining of pain in the ribs. You notice upon examination that she has pain with tenderness, puffiness, stringy tissue texture changes along the sternum with low levels of edema. What is the disease? How do you treat?

Tietze's syndrome

- treat all somatic dysfunctions and give NSAIDS

9

The thoracic inlet area is covered by the cervico-thoracic diaphragm called what?

Sibson's fascia

10

Why does the 1st rib, manubrium and T1 act as a unit?

They are all part of a synchondrosis joint

11

If there is an inhalation pump handle somatic dysfunction, where is the rib narrowing and widening?

Rib narrowing = above
Rib widening = below

12

What is the most prominent part of the front rib in an inhalation pump handle somatic dysfunction?

Front prominence = inferior part of the rib

13

Ribs 11 and 12 are primarily of what motion?

caliper motion (like tongs)

14

When assessing a patient on their stomach and feeling their 11th and 12 ribs, how are the ribs supposed to move normally on inhalation?

posterior and inferior

15

When assessing a patient on their stomach and feeling their 11th and 12 ribs, how are the ribs supposed to move normally on exhalation?

anterior and superior

16

When you have a group of ribs in inhalation somatic dysfunction, which rib do you treat?

The most inferior rib

Inhalation = Inferior (both start with "i")

17

When you have a group of ribs in exhalation somatic dysfunction, which rib do you treat?

The highest (most superior) rib.

18

If a 40 yo patient with an exhalation somatic dysfunction from ribs 1-2, what muscle do you use to help treat the dysfunction?

anterior and middle scalenes = rib 1 (most superior rib)

19

If a 40 yo patient with an exhalation somatic dysfunction from ribs 2-10, what muscle do you use to help treat the dysfunction?

posterior scalene = rib 2 (most superior rib)

20

If a 40 yo patient with an exhalation somatic dysfunction from ribs 5-10, what muscle do you use to help treat the dysfunction?

pectoralis minor = ribs 3-5 (most superior rib)

21

If a 35 yo patient with an exhalation somatic dysfunction from ribs 10-12, what muscle do you use to help treat the dysfunction?

serratus anterior = ribs 6-10 (most superior rib)

22

If a 35 yo patient with an exhalation somatic dysfunction from ribs 11, what muscle do you use to help treat the dysfunction?

Latissimus Dorsi/Quadratus lumborum = Ribs 11-12 (most superior rib)

23

You are in the jungle performing a search and rescue mission when a deadly alien warrior confronts you. Do you....
A. Treat his inhaled first rib
B. Explain to him the difference between bucket and pump handle rib dysfunctions.
C. GET TO DA CHOPPA. DO IT NOW! BLAGHGHGH

C. DA CHOPPA